Individual
TINA MARIE ANDERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ARNP
Contact information
Practice address
707 S GRADY WAY STE 400, RENTON, WA 98057-3246
(509) 975-9397
(866) 299-8687
Mailing address
707 S GRADY WAY STE 400, RENTON, WA 98057-3246
(509) 975-9397
(866) 299-8687
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
AP61366551
WA
363LG0600X
Gerontology Nurse Practitioner
AP61366551
WA
363LP2300X
Primary Care Nurse Practitioner
Primary
AP61366551
WA
Other
Enumeration date
02/07/2023
Last updated
09/11/2023
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